Individual provider Active NPI

Shawn M Stout, PA-C

  • Physician Assistant
  • Zionsville, IN
National Provider Identifier
1093098295
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001338A Issued in IN
Practice address
200 S Ford Rd
Zionsville, IN 46077-1864
Phone
(317) 957-9270
NPI assigned
Sep 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 99048634 IN
Physician Assistant 363A00000X 10001338A IN Primary

Addresses

Primary practice location

200 S Ford Rd
Zionsville, IN 46077-1864

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstout2@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000475 IN Practitioner - Physician Assistant 1355513730 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

11020 Pendleton Pike
Indianapolis, IN 46236-2817
Phone (317) 826-3903

115 Fields St
Mooresville, IN 46158-1492
Phone (317) 834-6678

1290 N State Rd
Suite 135
Greenwood, IN 46142-1003
Phone (317) 865-0472

13741 E 116TH St
Fishers, IN 46037-7604
Phone (317) 621-0730

1424 S Rangeline Rd
Carmel, IN 46032-2934
Phone (317) 571-1176

1808 Albany St
Beech Grove, IN 46107-1404
Phone (317) 786-1031

200 S Ford Rd
Zionsville, IN 46077-1864
Phone (317) 957-9270

2380 Pleasant St
Noblesville, IN 46060-3623
Phone (317) 621-2540

3545 W 86TH St
Indianapolis, IN 46268-1930
Phone (317) 228-0419

6191 N Keystone Ave
Indianapolis, IN 46220-2423
Phone (317) 257-6746

700 US Hwy 31 S
Greenwood, IN 46143-2401
Phone (317) 883-0567

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

7975 E US Hwy 36
Avon, IN 46123-7975
Phone (317) 272-5563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001338AINMDPhysician Assistant
99048634INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Apr 1, 2025 Accepting new patients
American Current Care PA CurrentSince Jan 10, 2025 Accepting new patients
American Current Care P.a. CurrentSince Jan 10, 2025 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Mar 2, 2013 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

200 S Ford Rd
Zionsville, IN 46077
Phone (317) 733-8732

Interoperability endpoints

  • Direct secure messaging: sstout9970@ecommunitydirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1093098295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S FORD RD",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771864",
            "telephone_number": "317-957-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "SHAWN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "99048634",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001338A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstout2@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1801 N Senate Blvd Ste 230",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.